Entry to Practice Examinations

We at COPR administer three Entry to Practice Examinations:

• The emergency medical responder (EMR) examination is used in Alberta, Saskatchewan, Manitoba, Nova Scotia, and Newfoundland and Labrador.
• The primary care paramedic (PCP) and advanced care paramedic (ACP) examinations are used in British Columbia, Alberta, Saskatchewan, Manitoba, Nova Scotia, Prince Edward Island, and Newfoundland and Labrador.

Provincial EMR and paramedic regulators have the authority to grant registration, licensure, or certification to individuals to practise as EMRs and paramedics. If you wish to practise as an EMR or paramedic, you must confirm the requirements with the appropriate provincial regulator.

Transition to the Canadian Paramedic Competence Framework (CPCF)

The EMR and PCP examinations have now fully transitioned to the CPCF from the National Occupational Competency Profile (NOCP). The ACP designation will not have an overlap, and the first ACP exam testing to the CPCF is scheduled for June, 2027. 

Note: Applicants may apply for the EMR CPCF Examination and PCP CPCF Examination even if their education was based on the NOCP. The COPR EMR and PCP NOCP Examinations are no longer being offered.

• If applying to write the EMR CPCF Examination, click here.
• If applying to write the PCP CPCF Examination, click here.
• If applying to write the ACP NOCP Examination, click here. 
• The ACP CPCF Examination is not yet available.